Active NPI
Rebecca L Tiller, MA, LMHC
- Mental Health Counselor
- Spokane, WA
National Provider Identifier
1417694357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00006116
- Practice address
- 1520 W 3Rd Ave
Spokane, WA 99201-7040 - Phone
- (509) 747-5615
- Fax
- (509) 747-5133
- NPI assigned
- May 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00006116 | WA | Primary |
Addresses
Primary practice location
1520 W 3Rd Ave
Spokane, WA 99201-7040
Mailing address
1520 W 3Rd Ave
Spokane, WA 99201-7040
Phone (509) 747-5165
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | becky@northwestneurological.com | Direct | Northwest Neurological PLLC |
| CONNECT URL | becky@tillercare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drg23 | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Spokane, WA
- NPI 1295232635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1417694357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 W 3RD AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992017040",
"telephone_number": "509-747-5165",
"fax_number": "509-747-5133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 W 3RD AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992017040",
"telephone_number": "509-747-5615",
"fax_number": "509-747-5133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILLER",
"first_name": "REBECCA",
"middle_name": "L",
"credential": "MA, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-12",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00006116",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "becky@northwestneurological.com",
"affiliation": "Y",
"endpointDescription": "NWN email",
"affiliationName": "Northwest Neurological PLLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1520 W 3rd Ave",
"city": "Spokane",
"state": "WA",
"country_code": "US",
"postal_code": "992017040",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "becky@tillercare.com",
"affiliation": "N",
"endpointDescription": "TILLERCARE EMAIL",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2203 W Houston Ave",
"city": "Spokane",
"state": "WA",
"country_code": "US",
"postal_code": "992084439",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.